1. ACHIEVING THE CoC STANDARD FOR PSYCHOSOCIAL DISTRESS SCREENING Melissa Wright, LMSW, OSW-C Gilda’s Club of the Quad Cities Carma Herring, RN, MS, OCN Executive Director, John Stoddard Cancer Center

2. Objectives:  Identify the new Commission on Cancer (CoC) standard for psychosocial distress screening  Discuss the value of distress screening in patient-centered care  Identify a pivotal visit as it relates to the CoC Standard

3. CoC Standard: “The Cancer Committee develops and implements a process to integrate and monitor on-site psychosocial distress screening and referral for the provision of psychosocial care.” History: 2007 report of the IOM “Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs.” NCCN “Distress should be recognized, monitored, and documented and treated promptly at all stages of the disease.”

4. Purpose of the Standard: To develop a process to incorporate the screening of distress into the standard care of oncology patients and provide identified patients with resources.

5. Pivotal Visit-Determined by each program “Time of greatest risk for distress” Examples: *Time of diagnosis *Presurgical/Postsurgical visit *Initial Chemotherapy administration *Visit to Radiation Oncologist

6. Process: Timing  At inpatient admission Method  Social Worker meets with patient Tools  NCCN Distress Screening Tool Assessment & Referral  Physician signature Documentation  Scanned into EMR

7. Implementation: Trial in July Measurement began in in August 2012PATIENTS DISTRESS SCREENING TOOL OFFERED DISTRESS SCREENING TOOL COMPLETED AVERAGE DISTRESS LEVEL CONSULTS REQUESTED CONCERNS IDENTIFIED AUGUST8755526.243970 SEPT12174415.184234

8. GOOD THINGS---

9. Things to change?